For many years the choroidal tubercle has been designated as the most conspicuous ocular sign in the course of acute generalized miliary tuberculosis. Tubercles of the conjunctiva have been seen but rarely, while fresh tubercles of the iris arising in the acute course of the disease are a curiosity. Gilbert1 reported such a case and stressed the distinction of such lesions from the so-called miliary tubercles found on the iris in chronic ocular tuberculosis. For these he reserved the term "tuberculids." Tubercles of the retina in acute generalized miliary tuberculosis are even still rarer. Professor Fuchs,2 in discussing primary retinal tuberculosis, stated that the lesion was described but once, by Litten;3 further, he said that small hemorrhages in cases of choroidal miliary tuberculosis should not, without other proof, be taken to indicate tubercle of the retina.
Investigation of the contemporary literature reveals that the lesion
GOLDSTEIN I, WEXLER D. ACUTE TUBERCULOUS PERIPHLEBITIS OF THE RETINA AND OPTIC NERVE. Arch Ophthalmol. 1930;3(5):552–559. doi:10.1001/archopht.1930.00810070058002
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